Augmented surgical amounts for intermittent exotropia to prevent recurrence

• DOI: 10.4103/0301-4738.146710
• Publication Date: 2014-12-10T13:58:03Z
• Authors: Hatice Arda; HaticeTuba Atalay; FarukH Orge
• Keywords: Esotropia; Intermittent exotropia

Purpose: The purpose was to evaluate the results of bilateral lateral rectus (BLR) recession which is based on augmented surgical amounts classical table Parks' for basic and pseudo-divergence excess type intermittent exotropia [X(T)]. Materials Methods: Patients with X(T) operated by same surgeon followed-up at least 6 months were included. prior surgery, neurobehavioral musculoskeletal conditions, strabismus different from that mentioned above excluded. All patients received BLR only. amount increased needed correct 5 prism diopters (PD) more than what measured. After operation, 1 st week, 2 nd measurements recorded. grouped according their week (3-7 days) postoperative examination as: >10 PD esotropia (Group 1), ≤10 2), 3), orthotropic 4), respectively. Final outcomes classified as "good" (≤10 ≤5 esotropia), "recurrence" (>10 exotropia) "overcorrected" (>5 esotropia). Results: Thirty-seven mean age 6.78 ± 2.87 years (range: 2-12 years). Mean preoperative deviation 29.72 8.07 15-45 PD) distance 20.94 11.65 10-45 near (P < 0.0001). There 21 (56.8%) in Group 1, 9 (24.3%) 2, (2.7%) patient 3 (16.2%) 4. Initial achieved 30 (30/37) patients. Twenty-eight them had good end months. Overall "motor surgical" success rate found be 89.2% (33/37 patients), overcorrection (8.1%) recurrences Conclusion: This study demonstrated early 10-20 after surgery can achieve acceptable motor first period.